Michigan healthcare freedom community forum

May 2026 Minnesota ...
 
Notifications
Clear all

May 2026 Minnesota Medicaid and Healthcare Fraud Takedown Summaries

2 Posts
2 Users
0 Reactions
82 Views
10x25mm
(@10x25mm)
Famed Member
Joined: 3 years ago
Posts: 1628
Topic starter  

The U.S. Department of Justice Criminal Division released their summaries of Medicaid fraud cases filed in the District of Minnesota by the Midwest Strike Force during the first half of May 2026.  The money laundering counts in the Shamso Ahmed Hassan case indicate some criminal proceeds were wired to Somalia.  Defendants "charged by information" are in the process of filing a guilty plea after reaching an agreement with federal prosecutors.  Indictments indicate a full blown criminal prosecution is anticipated:

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit/2026-minnesota-hcf-case-summaries

2026 Minnesota Medicaid and Benefits Fraud Takedown
Cases Filed in the District of Minnesota

Cases Filed in the District of Minnesota

U.S. v. Shamso Ahmed Hassan, et al.

  • Shamso Ahmed Hassan, 55, of Brooklyn Park, Minnesota, and Hanaan Mursal Yusuf, 25, of Brooklyn Park, Minnesota, were charged by indictment with conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and to make false statements related to health care matters, and money laundering in connection with a $46.6 million scheme to defraud Minnesota Medicaid’s Early Intensive Developmental and Behavioral Intervention (EIDBI) Program, of which approximately $21.2 million was paid. As alleged in the indictment, Shamso Ahmed Hassan was a shareholder in two autism centers, Smart Therapy Center and Star Autism Center, although she did not disclose their ownership interests to the Minnesota Department of Human Services as required. Defendant Hanaan Mursal Yusuf worked as a Level II provider of EIDBI services for Smart Therapy Center and was involved in operation of the center, including submitting claims for Medicaid reimbursement. Defendants Shamso Ahmed Hassan and Hanaan Mursal Yusuf paid kickbacks to families to incentivize them to send their children to Smart Therapy Center and Star Autism Center so that those centers could bill for EIDBI services in their children’s names. In fact, both Centers billed Medicaid for services that were not rendered or were not reimbursable by Medicaid. The case is being prosecuted by Trial Attorneys Sara Porter and Benjamin Smith of the Gulf Coast and Texas Strike Forces, and by Assistant United States Attorney Rebecca Kline of the District of Minnesota.

U.S. v. Charles Healey and Larsen-Guthmiller

  • Charles Wayne Healey, 61, of Blue Earth, Minnesota, and Katherin Suzan Larsen-Guthmiller, 66, of Blue Earth, Minnesota, were charged by indictment with conspiracy to commit health care fraud and money laundering. Defendants Charles Healey and Katherin Larsen-Guthmiller operated Healey Homes. From 2021 until Healey Homes was closed by the Minnesota Department of Human Services in 2025, the defendants received $22.7 million in Medicaid reimbursements for supposedly providing Individualized Home Supports (IHS) services to vulnerable adults. But IHS services are intended to support recipients living in their own homes and are explicitly disallowed in provider-controlled settings. Despite their knowledge of this requirement, Healey and Larsen-Guthmiller owned and controlled the residences where they were purportedly providing services to Medicaid recipients. They charged recipients below-market rent in exchange for agreeing to be used to bill Minnesota Medicaid. The case is being prosecuted by Trial Attorneys Sara Woodward and Sara Porter of the Midwest and Gulf Coast Strike Forces, and by Assistant United States Attorneys Rebecca Kline and Matt Evans of the District of Minnesota.

U.S. v. Deborah Hodges

  • Deborah Hodges, 59, of Philadelphia, Pennsylvania, was charged by indictment with one count of conspiracy to commit health care fraud and four counts of health care fraud, in connection with a scheme to submit $5.3 million in fraudulent claims to the Housing Stabilization Services (HSS) Program of Minnesota Medicaid, of which approximately $5.2 million was paid. As alleged in the indictment, Hodges used House of Heroes, Inc. (HOH), an HSS provider, to bill for in-person services that were never actually provided. In one egregious example, she billed Medicaid for in-person services provided while the Medicaid recipient was at an in-patient drug treatment program and falsified case notes to justify the claim. The case is being prosecuted by Trial Attorney Brant Cook and Assistant Chief Shankar Ramamurthy of the Midwest Strike Force, and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota.

U.S. v. Ahmed Othman Kadar

  • Ahmed Kadar, 22, of Rosemount, Minnesota, was charged by indictment with three counts of health care fraud and two counts of money laundering in connection with a scheme to defraud Minnesota Medicaid by billing for Integrated Community Services (ICS) that were not actually provided. As alleged in the indictment, Kadar operated Ultimate Home Health LLC, which was supposed to help people with disabilities live independently in the community rather than in an institutionalized setting such as a group home or assisted living facility. Instead, Kadar caused Ultimate to submit claims to Minnesota Medicaid that were not provided or inflated the number of hours of ICS services actually provided and resulted in Medicaid recipients failing to receive needed medical care. Specifically, Kadar failed to respond to complaints from Medicaid recipients that power had been shut off in their units, forcing them to live without heat during the winter. Kadar also billed Medicaid for ICS services purportedly provided to a recipient who was supposed to be receiving 24-hour care the day before that recipient was found deceased when, in fact, the services were not provided. In total, Kadar submitted approximately $1.4 million in ICS claims to Medicaid and was paid approximately the same amount. He then transferred $400,000 of those funds in violation of Money Laundering statutes. The case is being prosecuted by Assistant Chief Shankar Ramamurthy of the Midwest Strike Force and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota. 

U.S. v. Sharmaine Meadows

  • Sharmaine Meadows, 45, of Lake Elmo, Minnesota, was charged by indictment with three counts of health care fraud in connection with a scheme to submit over $4.3 million in fraudulent claims to the Housing Stabilization Services (HSS) Program of Minnesota Medicaid, of which nearly $3.7 million was paid. As alleged in the indictment, Meadows, owner and operator of Cradle of Love, LLC, caused the submission of false and fraudulent claims to Minnesota Medicaid for HSS services, directing her employees to bill Medicaid assigned hours per client week after week, regardless of whether services were actually provided, up to maximum available hours under the HSS program. The case is being prosecuted by Trial Attorney Jody King of the Florida Strike Force and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota. 

U.S. v. Muhammad Omar and Ibrahim Abdi

  • Muhammad Abdulqadir Omar, 32, of Roseville, Minnesota, and Ibrahim Bashir Abdi, 25, of Minneapolis, Minnesota, were charged by indictment with one count of conspiracy to commit health care fraud and four counts of health care fraud in connection with a scheme to submit $3.3 million in fraudulent claims to the Housing Stabilization Services (HSS) Program of Minnesota Medicaid, of which approximately $3.2 million was paid. As alleged in the indictment, Omar and Abdi co-owned and operated North Home Health Care LLC (NHHC) and Omar individually owned South Home Health Care LLC (SHHC). Omar and Abdi, through NHHC and SHHC, submitted claims to the HSS Program for services that they did not provide and for more services than were actually provided to Medicaid recipients. Omar and Abdi then created records falsifying the services that they claimed to have provided to Medicaid recipients and provided those records to insurers to justify their fraudulent claims. The case is being prosecuted by Trial Attorney Matthew Belz of the Los Angeles Strike Force and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota. 

U.S. v. Jillaine Ann Mertens

  • Jillaine Ann Mertens, 42, of Hamel, Minnesota, was charged by information with one count of wire fraud in connection with a scheme to submit fraudulent claims to the Minnesota Department of Children, Youth, and Families (DCYF), for which she was paid approximately $425,000. As alleged in the indictment, Mertens owned three childcare centers through which she submitted monthly applications to the Great Start Compensation Support Payment Program (GSCSPP) for reimbursement of in-classroom services that were never actually provided, for individuals who were not actually employed by the childcare centers. The case is being prosecuted by Assistant Chief Shankar Ramamurthy of the Midwest Strike Force, and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota. 

U.S. v. Candice Langley and U.S. v. Cynthia Allen

  • Cynthia Allen, 62, of Philadelphia, Pennsylvania, and Candice Langley 46, of Philadelphia, Pennsylvania, were charged by separate informations with health care fraud conspiracy. Allen and Langley operated Cynthia Allen Servicing Company, LLC, and Candice Carene, Inc., respectively. Allen and Langley, who are Philadelphia, PA, residents, traveled to Minnesota in 2022 where they registered as Housing Stabilizations Services Program (HSS) providers, and they operated into the summer of 2025. Allen and Langley, along with other associates from the Philadelphia area, opened and operated their putatively separate companies together, including sharing office space, employees, and seeking out clients. Though they provided some services, both Langley and Allen substantially inflated their hours worked and otherwise falsified claims and supporting documentation in their submissions for payment from Minnesota Medicaid. Combined, those two companies claimed to provide HSS to almost 350 Medicaid beneficiaries for which Cynthia Allen billed approximately $2,516,025 and Candice Langley billed approximately $988,282, of which approximately $3,504,307 was paid. The case is being prosecuted by Assistant Chief Shankar Ramamurthy and Trial Attorney Brant Cook of the Midwest Strike Force, and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota.

U.S. v. Abdulbasit Ibrahim and Mustafa Dayib

  • Mustafa Dayib, 22, and Abdulbasit Ibrahim, 22, of Minneapolis, Minnesota, were charged by Information with health care fraud conspiracy. Together, Dayib and Ibrahim operated Vitality Health Services, LLC (Vitality). They enrolled Vitality in the HSS program and, between January 2023 and July 2025, submitted claims for services that were not rendered. For these false and fraudulent claims, they were paid approximately $975,000. The case is being prosecuted by Assistant Chief Shankar Ramamurthy of the Midwest Strike Force and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota.

U.S. v. Fahima Mahamud

  • Fahima Mahamud, 50, of Minneapolis, Minnesota, was charged by Information with one count of wire fraud and one count of conspiracy to defraud the United States, in connection with two schemes that resulted in the theft of $5,480,329 in Federal funds. As alleged in the Information, Mahamud owned Future Leaders Early Learning Center (Future Leaders), a childcare center and Federal Child Nutrition Program food site responsible for serving food to children. As alleged in the indictment, Mahamud submitted inflated reimbursement claims to Feeding Our Future for meals purportedly served to children at Future Leaders. Through these claims, Future Leaders obtained approximately $854,000 in Federal Child Nutrition Program funds. However, Mahamud only used a fraction of the reimbursements to purchase food. Instead, she diverted the funds to buy real estate. Separately, Future Leaders also submitted claims to the federally funded Child Care Assistance Program for reimbursement of childcare expenses. She repeatedly certified that she was collecting statutorily mandated co-payments, meant to ensure that families were paying their fair share of childcare expenses, but failed to do so. As a result, Future Leaders received approximately $4.6 million to which it was not entitled. The case is being prosecuted by Assistant Chief Shankar Ramamurthy of the Midwest Strike Force and Assistant U.S. Attorney Matthew Murphy of the District of Minnesota.


   
ReplyQuote
Abigail Nobel
(@mhf)
Member Admin
Joined: 5 years ago
Posts: 1340
 

Improper payments, by program, makes an interesting read.

https://jewishworldreview.com/0526/sheffield052626.php

Tens of billions lost each year in US welfare programs -- and we're not even measuring it all

Rachel Sheffield    |    May 26, 2026

Last year's welfare fraud scandal in Minnesota made headlines for its brazen nature and massive scale. But it's only part of the story. Far more money slips through the cracks in the welfare system each year. No outrage ensues — but given the staggering sums involved, it should.

A recent report from the Government Accountability Office (GAO) sheds light on this waste. The GAO reports that in 2025, the government's improper payments totaled $186 billion. Improper payments are those that went to an ineligible recipient, were made in the wrong amount or were made without proper verification.

More than 40% of these improper payments came from the welfare system:

--Medicaid: $37.4 billion

--Earned Income Tax Credit: $21.1 billion

--Supplemental Nutrition Assistance Program (SNAP): $10.2 billion

--Supplemental Security Income: $7.3 billion

--Additional Child Tax Credit: ≈ $3.6 billion

--Head Start: ≈ $1.3 billion

--Child and Adult Food Care Program: ≈ $400 million

--Foster Grandparents: ≈ $28.3 million

Total = More than $80 billion.

That's enough money to provide the annual median household income for nearly 1 million American households. That's more households than there are in Houston.

A small share of improper payments, 5%, were underpayments, and in some cases, it wasn't clear whether a payment was improper or not. But 82% were overpayments.

Worse, the GAO says the amount of improper payments they found doesn't "represent the full extent of government-wide improper payments." Some government programs vulnerable to improper payments aren't required to measure them.

And some programs aren't required to report improper payments below a certain amount. Improper SNAP payments under $58 don't have to be reported at all, but these smaller errors equal 38% of all improper SNAP payments.

As the GAO explains, "The federal government is unable to determine the full extent of its improper payments or to reasonably assure that it takes appropriate actions to reduce them."

Improper payments aren't the only way money gets lost in the welfare system. Most fraud isn't even captured in improper payment reports. Improper payment measures are not designed to capture practices such as identity theft, provider billing fraud (for example, billing for services that were never provided) or SNAP benefit trafficking.

The U.S. welfare system is a maze of 90 programs that cost $1.7 trillion in 2025. The more money going into these programs — particularly those with high error rates — the more money available to be wasted on improper payments and fraud.

There's little financial accountability in the welfare system due to its funding mechanism. Most welfare program money comes from federal coffers, but the programs are administered by states. If money is spent improperly or defrauded away, much of it isn't states' own money.

Starting later this year, states will be required to contribute some of their own funds to SNAP if improper payments exceed a certain threshold. A good reform. Ultimately, states should be required to match the federal dollars they receive with an equal amount of their own dollars. This would increase states' financial accountability and provide greater incentive to protect SNAP dollars.

Other policy changes would help prevent fraud and waste in the U.S. welfare system.

In the Earned Income Tax Credit and the Additional Child Tax Credit programs —both essentially cash assistance programs with significant improper payments —most waste and fraud result from misreported income and people claiming children that do not meet residency requirements. Requiring better income documentation before payouts, such as 1099s for self-employment income, and only allowing those with legal custody to claim a child, could substantially reduce improper payments.

Ending "broad-based categorical eligibility" (BBCE) in SNAP would also reduce fraud. BBCE allows states to enroll people in SNAP without an asset test —making SNAP available to people who aren't needy by any measure. It also weakens the verification process. Nearly all erroneous payments in SNAP come from those who entered SNAP through BBCE.

Implementing the National Accuracy Clearinghouse (NAC) in SNAP and other programs, provides a way for states to check whether people are enrolled in a program in more than one state. In 2018, Congress said states must begin implementing the NAC, but the process has been slow, with only 15 states having launched it so far.

Allowing states to keep money saved from fraud reduction measures to invest in further fraud prevention mechanisms could also help reduce fraud and waste.

Countless billions of dollars lost due to weak safeguards in the welfare system is unacceptable. We need to do more to reduce error or exploitation —and ensure that these programs serve those actually in need.

Rachel Sheffield is a Research Fellow in The Heritage Foundation's DeVos Center for Human Flourishing.



   
ReplyQuote
Q

Get MHF Insights

News and tips for your healthcare freedom.

We never spam you. One-step unsubscribe.

 

Name(Required)
Zip Code(Required)
This field is hidden when viewing the form

Sponsors

J & DE Family Charitable Fund

Friends
of MHF

Kelly Grotendiek

Philip Harbach

Dale Johnson

Drs. Jeffrey and Joni Jones

Vickie Kahle

Tammy Kipen

Marlin & Kathy Klumpp

Melanie Kurdys

Ruth Nobel

Patrick Peterson

Stephanie Poortenga

Jeanne Smit

Ben and Hope Staal

John Tuinstra

Jacki VanHuis

Sandy Walker

Sign Up for MHF Insights to keep up on the latest in Michigan Health Policy

Name(Required)
Zip Code(Required)
This field is hidden when viewing the form

5 great non profit logos 2021 - 2025
Michigan Healthcare Freedom Candid

Click here to join the MHF Community Forum!

Grow the community on our social media pages.

Social media & sharing icons powered by UltimatelySocial